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A Prospective Evaluation of Iodinated Contrast Flow Patterns in Caudal Epidurography With Intentional Lateral Caudal Approach

Completed
Conditions
Patient Who Needs Epidural Block
Interventions
Procedure: insertion needle via intentionally lateral direction.
Registration Number
NCT01136018
Lead Sponsor
Yonsei University
Brief Summary

Caudal epidural block is useful not only for regional anesthesia of low abdominal, perineal area or lower extremities but for relieving acute or chronic pain of low back and lower extremities. Recently, there were some reports that there was a difference of the contrast flow pattern during lumbar epidural block according to a location of needle tip in the lumbar epidural space. Therefore, the investigators hypothesize that there is a difference of contrast flow pattern in caudal epidurography when a needle is inserted with intentionally lateral direction.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
22
Inclusion Criteria
  • patients with unilateral radiculopathy
Exclusion Criteria
  • patients with sepsis
  • chronic infection
  • coagulopathy
  • local infection near the sacral hiatus
  • the allergy of the contrast
  • history of spine surgery, scoliosis and kyphosis

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
intentional lateral caudal approachinsertion needle via intentionally lateral direction.-
Primary Outcome Measures
NameTimeMethod
A prospective evaluation of iodinated contrast flow patterns in caudal epidurography with intentional lateral caudal approachduring 10 seconds after obtaining the caudal epidurogram

Caudal epidural block is useful not only for regional anesthesia of low abdominal, perineal area or lower extremities but for relieving acute or chronic pain of low back and lower extremities. Recently, there were some reports that there was a difference of the contrast flow pattern during lumbar epidural block according to a location of needle tip in the lumbar epidural space. Therefore, the investigator hypothesizes that there is a difference of contrast flow pattern in caudal epidurography when a needle is inserted with intentionally lateral direction.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Severance hospital

🇰🇷

Seoul, Korea, Republic of

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